RUTH L SUN (MD) – Anesthesiology Physician, NPI 1205083318

RUTH L SUN (MD) is a healthcare provider. based in Santa ana, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. A108760 (CA). The NPI Number for RUTH L SUN (MD) is 1205083318

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
RUTH L SUN (MD)
NPI
1205083318
Phone
(714) 347-1010
Address
210 N TUSTIN AVE
Enumeration Date
20 August 2008
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3107793025
Graduation Year
2003 (23 years ago)
PAC ID
2567597891
Group Practice PAC ID
0941429872
Professional Enrollment ID
I20130102000299
Address ID
CA933091586BA1001XWAYX301

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

6,391 ANESTHESIOLOGY in CA

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Provider Addresses for RUTH L SUN (MD)

  • North Tustin Avenue, Santa Ana, Orange County, California, 92705, United States

    SANTA ANA, CA 927053807

    Phone: (714) 347-1010

    Fax: (714) 647-1245

    Type: Mailing

  • Pacific Alliance Medical Center, 531, West College Street, Naud Junction, Chinatown, Los Angeles, Los Angeles County, California, 90012, United States

    LOS ANGELES, CA 900122315

    Phone: (213) 624-8411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130102000299IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 92705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941429872View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)KS
Anesthesiology, Pediatric MedicineCA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

How do payers reference RUTH L SUN (MD)?
For RUTH L SUN (MD), use NPI 1205083318 as the unique 10-digit identifier.
Would RUTH L SUN (MD) appear as active to a payer?
You can treat RUTH L SUN (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for RUTH L SUN (MD)?
At a glance, RUTH L SUN (MD) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with RUTH L SUN (MD)?
Directory geography for RUTH L SUN (MD) centers on Santa Ana, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.